| 11/25/2015 |
| 07:18:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTEGON, CLARIS, | FI-660459 | R | 54.00 | 5311********0270 | 000072 | 11/25/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 54.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |